Edgar Filing: POTBELLY CORP

Ownership Submission

FORM 3

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940

OMB APPROVAL

OMB Number:

3235-0104

Expires:

January 31, 2005

Estimated average burden hours per response...

0.5

(Print or Type Responses)

1. Name and Address of Reporting Person ^*

Â BENCHMARK CAPITAL MANAGEMENT CO IV LLC

2. Date of Event Requiring Statement (Month/Day/Year)
10/03/2013

3. Issuer Name and Ticker or Trading Symbol
POTBELLY CORP [PBPB]

(Last)

(First)

(Middle)

2480 SAND HILL ROAD,Â SUITE 200

4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

_____ Director	__X__ 10% Owner
_____ Officer (give title below)	_____ Other (specify below)

5. If Amendment, Date Original Filed(Month/Day/Year)

(Street)

MENLO PARK,Â CAÂ 94025

6. Individual or Joint/Group Filing(Check Applicable Line)
___ Form filed by One Reporting Person
_X_ Form filed by More than One Reporting Person

(City)

(State)

(Zip)

Table I - Non-Derivative Securities Beneficially Owned

1.Title of Security
(Instr. 4)

2. Amount of Securities Beneficially Owned
(Instr. 4)

3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)

4. Nature of Indirect Beneficial Ownership
(Instr. 5)

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.			SEC 1473 (7-02)
	Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)

1. Title of Derivative Security (Instr. 4)	2. Date Exercisable and Expiration Date (Month/Day/Year)		3. Title and Amount of Securities Underlying Derivative Security (Instr. 4)		4. Conversion or Exercise Price of Derivative Security	5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
1. Title of Derivative Security (Instr. 4)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares	4. Conversion or Exercise Price of Derivative Security		6. Nature of Indirect Beneficial Ownership (Instr. 5)
Series B Preferred Stock	09/18/2002	Â ⁽¹⁾	Common Stock	1,000,000 ⁽²⁾	$ ⁽¹⁾	I	See footnote (2)
Series C Preferred Stock	10/08/2003	Â ⁽³⁾	Common Stock	404,941 ⁽²⁾	$ ⁽³⁾	I	See footnote (2)
Series D Preferred Stock	03/23/2005	Â ⁽⁴⁾	Common Stock	149,737 ⁽²⁾	$ ⁽⁴⁾	I	See footnote (2)
Series E Preferred Stock	02/13/2006	Â ⁽⁵⁾	Common Stock	18,479 ⁽²⁾	$ ⁽⁵⁾	I	See footnote (2)
Series F Preferred Stock	12/29/2008	Â ⁽⁶⁾	Common Stock	25,000 ⁽²⁾	$ ⁽⁶⁾	I	See footnote (2)

Reporting Owners

Reporting Owner Name / Address	Relationships
Reporting Owner Name / Address	Director	10% Owner	Officer	Other
BENCHMARK CAPITAL MANAGEMENT CO IV LLC 2480 SAND HILL ROAD SUITE 200 MENLO PARK,Â CAÂ 94025	Â	Â X	Â	Â
BENCHMARK FOUNDERS FUND IV LP 2480 SAND HILL RD. #200 MENLO PARK,Â CAÂ 94025	Â	Â X	Â	Â
BENCHMARK FOUNDERS FUND IV A LP 2480 SAND HILL RD. #200 MENLO PARK,Â CAÂ 94025	Â	Â X	Â	Â
BENCHMARK FOUNDERS FUND IV-B LP 2480 SAND HILL RD. #200 MENLO PARK,Â CAÂ 94025	Â	Â X	Â	Â
BENCHMARK CAPITAL PARTNERS IV LP 2480 SAND HILL RD. #200 MENLO PARK,Â CAÂ 94025	Â	Â X	Â	Â
HARVEY KEVIN 2480 SAND HILL ROAD SUITE 200 MENLO PARK,Â CAÂ 94025	Â	Â X	Â	Â
SPURLOCK STEVEN M 3820 SAND HILL ROAD SUITE 200 MENLO PARK,Â CAÂ 94025	Â	Â X	Â	Â
GURLEY J WILLIAM 3820 SAND HILL ROAD SUITE 200 MENLO PARK,Â CAÂ 94025	Â	Â X	Â	Â
KAGLE ROBERT 3820 SAND HILL ROAD SUITE 200 MENLO PARK,Â CAÂ 94025	Â	Â X	Â	Â
DUNLEVIE BRUCE 2480 SAND HILL ROAD SUITE 200 MENLO PARK,Â CAÂ 94025	Â	Â X	Â	Â

Signatures

/s/Steven M. Spurlock, as Managing Member of Benchmark Capital Management Co. IV, LLC		10/03/2013
^**Signature of Reporting Person		Date
/s/Steven M. Spurlock, as Managing Member of Benchmark Capital Management Co. IV, LLC, the General Partner of Benchmark Capital Partners IV, L.P.		10/03/2013
^**Signature of Reporting Person		Date
/s/Steven M. Spurlock, as Managing Member of Benchmark Capital Management Co. IV, LLC, as the General Partner of Benchmark Founders' Fund IV, L.P.		10/03/2013
^**Signature of Reporting Person		Date
/s/Steven M. Spurlock, as Managing Member of Benchmark Capital Management Co. IV, LLC, as the General Partner of Benchmark Founders' Fund IV-A, L.P.		10/03/2013
^**Signature of Reporting Person		Date
/s/Steven M. Spurlock, as Managing Member of Benchmark Capital Management Co. IV, LLC, as the General Partner of Benchmark Founders' Fund IV-B, L.P.		10/03/2013
^**Signature of Reporting Person		Date
/s/Steven M. Spurlock, by power of attorney for Kevin R. Harvey		10/03/2013
^**Signature of Reporting Person		Date
/s/Steven M. Spurlock, by power of attorney for Bruce W. Dunlevie		10/03/2013
^**Signature of Reporting Person		Date
/s/Steven M. Spurlock, by power of attorney for J. William Gurley		10/03/2013
^**Signature of Reporting Person		Date
/s/Steven M. Spurlock, by power of attorney for Robert C. Kagle		10/03/2013
^**Signature of Reporting Person		Date
/s/Steven M. Spurlock		10/03/2013
^**Signature of Reporting Person		Date

Explanation of Responses:

*	If the form is filed by more than one reporting person, see Instruction 5(b)(v).
**	Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
(1)	The Series B Preferred Stock is convertible into Potbelly Corporation ("Potbelly") common stock on a 1-to-1 basis at the option of the holder and has no expiration date. The Series B Preferred Stock will automatically convert into common stock on a 1-to-1 basis upon the closing of Potbelly's initial public offering.
(2)	Represents shares held by Benchmark Capital Partners IV, L.P., as nominee for Benchmark Capital Partners IV, L.P., Benchmark Founders' Fund IV, L.P., Benchmark Founders' Fund IV-A, L.P., Benchmark Founders' Fund IV-B, L.P. and related individuals (collectively, the "Benchmark Funds"). Benchmark Capital Management Co. IV, L.L.C. ("BCMC IV") is the general partner of Benchmark Capital Partners IV, L.P. and BCMC IV's managing members are Bruce W. Dunlevie, J. William Gurley, Kevin R. Harvey, Robert C. Kagle and Steven Spurlock. These individuals may be deemed to beneficially own the shares held by the Benchmark Funds. Each of these individuals disclaims beneficial ownership of such shares except to the extent of such individuals pecuniary interest therein.
(3)	The Series C Preferred Stock is convertible into Potbelly common stock on a 1-to-1.0086 basis at the option of the holder and has no expiration date. The Series C Preferred Stock will automatically convert into common stock on a 1-to-1.0086 basis upon the closing of Potbelly's initial public offering.
(4)	The Series D Preferred Stock is convertible into Potbelly common stock on a 1-to-1.0268 basis at the option of the holder and has no expiration date. The Series D Preferred Stock will automatically convert into common stock on a 1-to-1.0268 basis upon the closing of Potbelly's initial public offering.
(5)	The Series E Preferred Stock is convertible into Potbelly common stock on a 1-to-1.0348 basis at the option of the holder and has no expiration date. The Series E Preferred Stock will automatically convert into common stock on a 1-to-1.0348 basis upon the closing of Potbelly's initial public offering.
(6)	The Series F Preferred Stock is convertible into Potbelly common stock on a 1-to-1 basis at the option of the holder and has no expiration date. The Series F Preferred Stock will automatically convert into common stock on a 1-to-1 basis upon the closing of Potbelly's initial public offering.
Â Remarks: BruceÂ W.Â Dunlevie,Â J.Â WilliamÂ Gurley,Â KevinÂ R.Â Harvey,Â RobertÂ C.Â KagleÂ andÂ StevenÂ M.Â SpurlockÂ areÂ theÂ managingÂ membersÂ ofÂ BenchmarkÂ CapitalÂ ManagementÂ CoÂ IV,Â L.L.C.,Â whichÂ servesÂ asÂ generalÂ partnerÂ toÂ BenchmarkÂ CapitalÂ PartnersÂ IV,Â L.P.,Â BenchmarkÂ Founders'Â FundÂ IV,Â BenchmarkÂ FoundersÂ FundÂ IV-A,Â L.P.Â andÂ BenchmarkÂ FoundersÂ FundÂ IV-B,Â L.P.Â andÂ mayÂ beÂ deemedÂ toÂ shareÂ votingÂ andÂ investmentÂ powerÂ overÂ theÂ sharesÂ beneficiallyÂ heldÂ byÂ suchÂ entities.Â EachÂ suchÂ personÂ andÂ entityÂ disclaimsÂ theÂ existenceÂ ofÂ aÂ "group"Â andÂ disclaimsÂ beneficialÂ ownershipÂ ofÂ anyÂ securitiesÂ (exceptÂ toÂ theÂ extentÂ ofÂ suchÂ person'sÂ orÂ entity'sÂ pencuniaryÂ interestÂ inÂ suchÂ securities)Â otherÂ thanÂ anyÂ securitiesÂ beingÂ reportedÂ hereinÂ asÂ beingÂ directlyÂ ownedÂ byÂ suchÂ personÂ orÂ entity.Â TheÂ filingÂ ofÂ thisÂ reportÂ isÂ notÂ anÂ admissionÂ thatÂ anyÂ ReportingÂ PersonÂ isÂ theÂ beneficialÂ ownersÂ ofÂ theseÂ sharesÂ forÂ purposesÂ ofÂ SectionÂ 16Â orÂ forÂ anyÂ otherÂ purpose.

Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, See Instruction 6 for procedure.

Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB number.